| NPI | 1669542882 |
|---|---|
| Former Name | HEATHER RAE HOUSEKNECHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25260) |
| 225100000X Physical Therapist (Licence: PA PT013910L) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-12-09 |